Patologia femoro-rotulea: stato dell’arte chirurgico

The patellofemoral pathology is one of the most frequent and disabling musculoskeletal disorders and its high incidence, especially in young and active individuals, involves a considerable socio-economic relevance. The presence of a growing number of the conservative and surgical options is the main indicator of a general lack of consensus about the treatment of this complex pathology. The traumatic injuries, degenerative and structural anomalies could coexist, and the perfect treatment should be aimed to try to correct them as much as possible. Surgical treatment of patellofemoral pain or instability, could act on soft tissues, especially Medial Patello Femoral Ligament (MPFL) reconstruction, or on bone such as Tibial Tubercle Transfer, or trochleoplasty. The treatment of cartilage lesions spans from microfractures to scaffold or prosthetic substitution.